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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 4 of 4 Research Studies DisplayedRouth D, Simmons R, Sanders J
Building an implementation framework to address unmet contraceptive care needs in a carceral setting: a systematic review.
The purpose of this study was to conduct a systematic review of policy and practice recommendations to improve contraceptive care to reproductive-aged, incarcerated individuals in the US. The researchers used the Joanna Briggs Institute methodology, framed within the National Implementation Research Network's (NIRN) Exploration stage. Sources included MedLine, ProQuest, PSYCInfo, PubMed, SCOPUS, Social Science Citation Index, and Web of Science, as well as the reference sections of included materials. A total of 45 materials met the inclusion criteria. The researchers identified seven themes: 1. policy changes needed for care implementation; 2. the need for contraceptive care in carceral systems; 3. Barriers from justice agencies regarding the provision of contraceptive care; 4. policy barriers to access to contraceptives; 5. funding strategies to improve care; 6. patient preferences for contraceptive care delivery; and 7. healthcare provider knowledge about contraceptive care. The seven themes highlighted the need for contraceptive care provision to incarcerated individuals, as well as gaps, barriers, and facilitators of current contraceptive care provision for this population.
AHRQ-funded; HS027220.
Citation: Routh D, Simmons R, Sanders J .
Building an implementation framework to address unmet contraceptive care needs in a carceral setting: a systematic review.
Health Justice 2023 Oct 20; 11(1):43. doi: 10.1186/s40352-023-00243-8..
Keywords: Sexual Health, Vulnerable Populations
Horner-Johnson W, Klein KA, Campbell J
Experiences of women with disabilities in accessing and receiving contraceptive care.
This study explored the experiences of women with different types of disability when they attempted to obtain contraceptive care. Four semistructured focus groups were created to sample 17 women with different types of disabilities: physical, intellectual and developmental, blind or low vision, and deaf or hard of hearing. Three main themes were identified in challenges to obtaining high-quality contraceptive care: Accessibility and Accommodations, Clinician Attitudes, and Health Insurance. Different challenges occurred with different types of disabilities such as inaccessible clinic rooms and examination tables, and inaccessible clinic forms and information. Processes and infrastructure of contraceptive care are based on an assumption of an able-bodied norm.
AHRQ-funded; HS022981.
Citation: Horner-Johnson W, Klein KA, Campbell J .
Experiences of women with disabilities in accessing and receiving contraceptive care.
J Obstet Gynecol Neonatal Nurs 2021 Nov;50(6):732-41. doi: 10.1016/j.jogn.2021.07.005..
Keywords: Access to Care, Disabilities, Vulnerable Populations, Women, Sexual Health
Giguere R, Lopez-Rios J, Frasca T
Use of HIV self-testing kits to screen clients among transgender female sex workers in New York and Puerto Rico.
This research focused on the use of HIV self-testing (HIVST) kits given to transgender female sex workers (TFSW) to screen sexual partners. Ten TFSWs were given ten HIVST kits each and they complete an online questionnaire 3 months later or underwent an interview. Eight of them reported using the test kit with potential clients or partners. The majority who were asked to test were clients (84%). Out of those 50 potential partners or clients, 34 out of 50 accepted and 16 refused. Participants felt empowered but the market cost of these kits is prohibitive and could only be implemented if the costs were lowered or subsidized.
AHRQ-funded; HS026383.
Citation: Giguere R, Lopez-Rios J, Frasca T .
Use of HIV self-testing kits to screen clients among transgender female sex workers in New York and Puerto Rico.
AIDS Behav 2020 Feb;24(2):506-15. doi: 10.1007/s10461-019-02730-2..
Keywords: Human Immunodeficiency Virus (HIV), Vulnerable Populations, Diagnostic Safety and Quality, Sexual Health, Patient Self-Management, Women
Wu J, Braunschweig Y, Harris LH
Looking back while moving forward: a justice-based, intersectional approach to research on contraception and disability.
This paper discusses the higher use of female sterilization than long-acting reversible contraception use among women with disabilities compared to women without disabilities. The reasons for that were discussed and the authors advocate for a justice-based intersectional approach to research on contraception and disability.
AHRQ-funded; HS022981.
Citation: Wu J, Braunschweig Y, Harris LH .
Looking back while moving forward: a justice-based, intersectional approach to research on contraception and disability.
Contraception 2019 May;99(5):267-71. doi: 10.1016/j.contraception.2019.01.006..
Keywords: Disabilities, Sexual Health, Vulnerable Populations, Women